15555 SW ALDERBROOK CIRCLE-1 1
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Owner:. . . T. °............. .-- .._............................... ...Permit No......1.630 e�
15555 SW Alderbrook C_irrlt .....,,__._.I_.at_.. 79:......
`.. Building Address,....................................... ........... a ,r
Certificate is hereby given this..:3.0...... .day of....R.%rsmb.ar...... .., 19..77-..
that said building may be occupied- and
r - that it; complies with-all'requirements of
oe
the=Building Code for the City of Tigard,
_ as approved by the Tigard City Council:
' Building Inspector
L sft.
ADDRESS % 5 /iC�Lc. �2Cr _j�'�� PERMIT N0.
PERMIT CHARGE nun
"4INER �/ d.'` C CONNECTION FEE rCb
PAID BY T
TYPE OF BUILDING r/L� . DATE COPINEr_TEO
SERVICE RATE 5�� INSPECTION FEE S
CONTRACTOR PAID BY DATE
SIZE OF CONNECTION ASSESSMENT PAID
i
� ?33 �
T Y/
SEWER PERM V1 13492
Uo
nified Sewerage Agency
or Washington County CITY OF Tigard DATE 6-9-77 _
OWNER : T. D. C . _ PHONE :- 639-3101
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
[E�BUIL.DING SEWER [-]BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
DNEW SINGLE FAMILY ❑ CnMMERCIAL
❑EXIST . (PRIOR TO 7- 1 -70 ) ❑ MULT . RES. ❑ INDUSTRIAL
FIXTURE UNITS DWELLING UNITS - 1 _
FERMIr CONDTTIONS: THE APPLICANT AGREES TO COMPLY WI (H ALL RULES
A�'D REGULATIONS OF THE UNIFIED SEWERAGE AGENCY . WHEN CALLING FOR
INSPECTION, PLEASE REFER TO THE PERMIT NUMBER . THIS APPLICATION
EXPIRES IN OAE-HUNDRED AND TWE'aTY ( 120 ) DAYS . 7HE AMOUNT PAID WILL
CE FORFEITED SHOULD EXPIRATION OCC('R .
FEES :
PERMIT FEE= $ 25.
CONNEC7ION CHARGE 600.
SIDE SEWER INSTALLATION
ISSUED BY
OTHER _
TOTAL �_ 625.
APPLICANT DATE
SEWER PERMIT N`. 13492
ADDRESS OF STRUCTURE 15555 SW B® Alderbrook Circle --
TAX MAP TAX LOT SYSTEM fanno creek
LOT 479 BLOCK _ OF _
APPROVED BY DATE ISSUP6 SY DATE
REMARK, Bldg. 1630 —
CIT _ 1630BUI_GING PERMIT APPLICATION of I7AR® DATE
639-3101
THE UNL ERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE WORK HEREIN INDICATID BUILDER PHONE_ ---.
OR AS Sh-?'N AND APPROVED IN THE ACCOMPANYING PLAN'S AND SPECIFICATIONS OWNEP.PHONE_
LO'r NO._
r•i1vl.• . _.- ,i�,! 13�.1:�ULIJ1'.Jt1l< �,
U_WNER _ JOB ADDRESS HOMjE ADDRESS
ARCM TEC'r
ENGINEER
BUILDER ADDRESS DESIGNER
x _
STyRUCTURE ONEW ❑REMODEL ❑ADDITION C3 REPAIR []RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
t' FiESIDFNCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑REUGIOUS❑PAT,O ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB [-]FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE. LIDESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OC17UPA Y A.N�.�S�E ZONE BLDG.TYPE._ —�,FI�RE ZONE— PLAN CHECK BY -- HEAT. —
LUT, N/� RIK 17 1 I):31JE7 k7 t3(D41 aEi �.il 54t Uf(ItIIeT lii Lane
LUT,
—M) W I t;(: 2 fbium 2 Beth —
1 1 90 1 34,c� u•
9QD.LOAD �14E?HJ,.-SHAD_—_ HEJ�L ?S2fl1 F—ARE�_..__NO _QMS _—_YALI��— --
BUILDING DEPARTMENT SET BACKS FRONT NEAP, LEFT SIDE RIGHT SIDE
Permit
rHIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGUI.PTIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK L.ILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH
Sub-total i LL APPLICABLE CODES AND ORDINANCES, THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
- } RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tax J• LICIENS8.BtfARATE PERIIMTR RFOUIRED IfDR SFWEA;P4VM".ING AND HEA-TING.
Total -T-
By
J APP NT OR AGENT
Approved.._.
Receipt NOADOMSS
._,...._.w......«.�....._..�_.,.. .._:w....w.r.i.d�:n�a.,�: _.... _.._.. ... -....: .....:.. ...........:..-.,t...,_:.......r.......a,...+cmr..aw.. .._,..:..�.,..,.:..,.:..,...wm,v
04TE V SP. TYPE INSPECTION REMARKS PLUMBING DA E
Contractor _
Permit No.
Fixture
Final _
277 JJJJ J HEATING
.'2 — Contractor _ _
11-2 2—G 7� ~� �� � -- —__ ---- Permit No. p�D2— n �� 5-_11
Gas or Oil --
-�-- ---__—.—_ ---
Rough i n
----- ---- Final
SEWER —
_ Final
DRIVEWAY —
— — -- _--.__— Final
-- -- -- __—,—_ Storm Drainage — -
- (Rain Drain) Final
>idewair.
--• Curb&Street Final
Approach
BLDG DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
r Landscaping _
i
Zoning Final